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"A growing body of research indicates that social determinants of health have a significant impact on health care utilization and outcomes. Researchers and policymakers in the United States have spent decades exploring and discussing approaches to integrating health care and social services. While no nation has a truly integrated system, many other industrialized nations invest more heavily in social services than the United States, and are more effective in integrating these services with health care. Integrating health care and social services, such as accessible housing, meals and nutrition services, transportation, and caregiver training, is particularly important for those facing serious illness who typically encounter multiple chronic conditions, pain and other symptoms, functional dependency, frailty, and significant family caregiver needs. In an effort to better understand and facilitate discussions about the challenges and opportunities related to integrating health care and social services for people with serious illness, the National Academies of Sciences, Engineering, and Medicine held a full-day public workshop on July 19, 2018 in Washington, DC. The workshop featured a broad range of experts and stakeholders including researchers, policy analysts, patient and family caregiving advocates, and representatives of federal agencies. This publication summarizes the presentations and discussions from the workshop"--Publisher's description.
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The authors of this book share their practical experience of implementing a multi-agency approach to the support of older people. They show how systems thinking can help with the complexity of developing a model of care that co-ordinates medical, social and community services and offer insight into the effective use of on-going assessment.
Integrated delivery of health care --- Older people --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Medical care --- Care --- Services for
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Drawing on decades of experience in health care policy, health care delivery reform, and economics, Rosemary Gibson and Janardan Prasad Singh provide a non-partisan analysis of the reform and what it means for America and its future.
Health care reform --- United States --- Medical care --- Finance --- Law and legislation --- Medical policy --- Economic aspects --- Insurance [Health ] --- Politics and government --- Integrated delivery of health care --- Health insurance --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Politics and government. --- Government --- History, Political
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Healthcare is now practiced in a different financial and delivery system than it was two decades ago. Currently managed care defines what is treated, how, by whom and for what reimbursement. Mental health professionals have been greatly impacted by these changes to their practice, and yet, there is little understanding of exactly what it is and where it is going. The present volume explores these issues, prospects and opportunities from the vantage of mental health /medical professionals and managed care executives who are in the very process of implementing changes to the existing system of m
Mental health services. --- Integrated delivery of health care. --- Medical cooperation. --- Cooperation, Medical --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Social medicine --- Medical care
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Mentally ill --- Integrated delivery of health care --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Medical care --- Insane --- Mental illness --- Mental patients --- Mentally disordered --- Sick --- People with mental disabilities --- Patients
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How do we decide on the most effective way to heal ourselves or our patients? Complementary therapies are a vital part of any integrated approach to health which incorporates specialist and layperson knowledge. In this book, David Aldridge examines cultural understandings of illness and medicines. He provides a critique of orthodox methods used to assess treatment, and advocates a more pluralistic approach to medical research and practice, encompassing the physical, psychological, spiritual and social dimensions of a person's life. To assess medical research in a range of situations, Aldridge
Alternative medicine. --- Integrated delivery of health care. --- Medical anthropology. --- Medicine --- Health Workforce --- Medical care --- Anthropology --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Complementary medicine --- Healing systems --- Systems, Healing --- Systems, Therapeutic --- Therapeutic systems --- Integrative medicine --- Research --- Philosophy. --- Anthropological aspects
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One in three or four patients seen in primary care has a mental health problem. There are straightforward and effective treatments available for many of these conditions and the primary healthcare clinicians themselves can treat some successfully. Many secondary care services for mental health are working towards earlier discharge, making primary care an important place for delivering mental healthcare. This has been recognised in the Quality and Outcomes Framework, giving clinicians in primary care responsibility for recognising and treating a certain number of mental illnesses. Clinicians in
Mental health services. --- Primary care (Medicine) --- Integrated delivery of health care. --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Medical care --- Primary medical care --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services
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Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a landmark title in the field, offering a clear, detailed, and cohesive call by leading experts for coordinated care for patients with concurrent psychiatric and medical conditions. The renowned editors and authors argue that what is slowly occurring, and greatly needed at a faster pace, is nothing less than a sea change in the way that psychiatric care will be delivered. The current, mostly segregated, medical and psychiatric model of care has led to the development of competing medical and psychiatric subcultures that have resulted in a lack of dialog among health providers, administrators, and payers – and thus in less than optimal patient outcomes. To remedy this problem, the book offers a practical, insightful road map to achieving the central tenet of health reform – truly coordinated, patient-centered care where the care experience for the patient, the medical care itself, and the cost outcomes improve as the system changes from fee-for-service to population-based health. An invaluable reference for all clinicians, policy makers, payers, administrators, and others interested in the debate surrounding healthcare systems, Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a major contribution to the literature and a gold standard resource.
Mental health services --- Integrated delivery of health care. --- Administration. --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Medical care --- Psychiatry. --- Behavioral Therapy. --- Internal medicine. --- Internal Medicine. --- Practice and Hospital Management. --- Medicine, Internal --- Medicine --- Behavioral therapy --- Behavior modification --- Psychotherapy --- Medicine and psychology --- Mental health --- Psychology, Pathological --- Behavioral therapy. --- Practice of medicine. --- Medical practice --- Practice of medicine --- Physician practice acquisitions
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The integration of behavioral health with general health care improves outcomes, lowers costs, and leads to a better experience of care. But how to achieve this Triple Aim effectively and efficiently? This how-to book is essential for practitioners and policy makers who want to make collaborative care a reality everywhere. --Steven S. Sharfstein, M.D., President Emeritus, Sheppard Pratt Health System, Clinical Professor of Psychiatry, University of Maryland, and former President of APAThis book will be helpful for both primary care and behavioral health organizations on the path to integration, regardless of what stage they are in. The focus on the specifics of implementation will be very helpful for all disciplines. --Virna Little, PsyD, LCSW-r, MBA, CCM, SAP, Senior Vice President Psychosocial Services/Community AffairsIntegrated Care: A Guide for Effective Implementation covers a broad range of topics related to making behavioral health integration work in the readers setting. It covers clinical, operational, and financial aspects of integration. This book is full of practical advice from people who have worked in integrated settings and understand the potential benefits and the challenges of providing integrated care. --Neil Korsen, Physician Scientist, Center for Outcomes Research and Evaluation Maine Medical Center
W 84.1 Health services. Delivery of health care. General coverage.. --- Delivery of Health Care, Integrated --- Primary Health Care --- Mental Health Services --- Integrated delivery of health care. --- Primary health care. --- Mental health services. --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care --- PHC (Primary health care) --- Community health services --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care)
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The contributors to this volume provide an overview of each component of the acute and long-term care service continuum, including managed health care, subacute care, nursing homes, community care case management, and private case management. This volume is one of the first efforts to place these varied approaches side-by-side, highlighting the gaps and areas of duplication in the services delivery system. In addition, chapters address the emerging practices in long-term care financing and assisted living as well as the conceptual issues that need to be resolved to achieve acute and chronic ca
Integrated delivery of health care. --- Managed care plans (Medical care) --- Medical care --- Managed care programs (Medical care) --- Managed care systems (Medical care) --- Managed health care --- Plans, Managed care (Medical care) --- Programs, Managed care (Medical care) --- Systems, Managed care (Medical care) --- Health insurance --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care) --- Quality control.
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